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Prevalence and Influencing Factors on Fatigue of First-line Nurses Combating with COVID-19 in China: A Descriptive Cross-Sectional Study.
Curr Med Sci. 2020 Aug; 40(4):625-635.CM

Abstract

Nurses' work-related fatigue has been recognized as a threat to nurse health and patient safety. The aim of this study was to assess the prevalence of fatigue among first-line nurses combating with COVID-19 in Wuhan, China, and to analyze its influencing factors on fatigue. A multi-center, descriptive, cross-sectional design with a convenience sample was used. The statistical population consisted of the first-line nurses in 7 tertiary general hospitals from March 3, 2020 to March 10, 2020 in Wuhan of China. A total of 2667 samples from 2768 contacted participants completed the investgation, with a response rate of 96.35%. Social-demographic questionnaire, work-related questionnaire, Fatigue Scale-14, Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, and Chinese Perceived Stress Scale were used to conduct online survey. The descriptive statistic of nurses' social-demographic characteristics was conducted, and the related variables of work, anxiety, depression, perceived stress and fatigue were analyzed by t-tests, nonparametric test and Pearson's correlation analysis. The significant factors which resulted in nurses' fatigue were further analyzed by multiple linear regression analysis. The median score for the first-line nurses' fatigue in Wuhan was 4 (2, 8). The median score of physical and mental fatigue of them was 3 (1, 6) and 1 (0, 3) respectively. According to the scoring criteria, 35.06% nurses (n=935) of all participants were in the fatigue status, their median score of fatigue was 10 (8, 11), and the median score of physical and mental fatigue of them was 7 (5, 8) and 3 (2, 4) respectively. Multiple linear regression analysis revealed the participants in the risk groups of anxiety, depression and perceived stress had higher scores on physical and mental fatigue and the statistically significant positive correlation was observed between the variables and nurses' fatigue, the frequency of exercise and nurses' fatigue had a statistically significant negative correlation, and average daily working hours had a significantly positive correlation with nurses' fatigue, and the frequency of weekly night shift had a low positive correlation with nurses' fatigue (P<0.01). There was a moderate level of fatigue among the first-line nurses fighting against COVID-19 pandemic in Wuhan, China. Government and health authorities need to formulate and take effective intervention strategies according to the relevant risk factors, and undertake preventive measures aimed at reducing health hazards due to increased work-related fatigue among first-line nurses, and to enhance their health status and provide a safe occupational environment worldwide. Promoting both medical and nursing safety while combating with the pandemic currently is warranted.

Authors+Show Affiliations

Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.Department of Operating Room, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.Department of Academic Research, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.Department of Nursing, Yijishan Hospital Affiliated to Wannan Medical College, Wuhu, 241001, China.Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.Department of Radiation and Medical Oncology, Zhongnan Hospital, Wuhan University, Wuhan, 430071, China.Department of Urology, Renmin Hospital of Wuhan University, Wuhan, 430060, China.Department of Operating Room, Affiliated Hospital of Jianghan University, Wuhan, 430015, China.Department of Nursing, Union Jiangbei Hospital, Wuhan, 430100, China.Department of Neurosurgery, Hubei Provincial Hospital of Integrated Chinese & Western Medicine, Wuhan, 430015, China.Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. yujiaohua2008@126.com.Department of Nursing, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. lisuyun0503@163.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32767264

Citation

Zhan, Yu-Xin, et al. "Prevalence and Influencing Factors On Fatigue of First-line Nurses Combating With COVID-19 in China: a Descriptive Cross-Sectional Study." Current Medical Science, vol. 40, no. 4, 2020, pp. 625-635.
Zhan YX, Zhao SY, Yuan J, et al. Prevalence and Influencing Factors on Fatigue of First-line Nurses Combating with COVID-19 in China: A Descriptive Cross-Sectional Study. Curr Med Sci. 2020;40(4):625-635.
Zhan, Y. X., Zhao, S. Y., Yuan, J., Liu, H., Liu, Y. F., Gui, L. L., Zheng, H., Zhou, Y. M., Qiu, L. H., Chen, J. H., Yu, J. H., & Li, S. Y. (2020). Prevalence and Influencing Factors on Fatigue of First-line Nurses Combating with COVID-19 in China: A Descriptive Cross-Sectional Study. Current Medical Science, 40(4), 625-635. https://doi.org/10.1007/s11596-020-2226-9
Zhan YX, et al. Prevalence and Influencing Factors On Fatigue of First-line Nurses Combating With COVID-19 in China: a Descriptive Cross-Sectional Study. Curr Med Sci. 2020;40(4):625-635. PubMed PMID: 32767264.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevalence and Influencing Factors on Fatigue of First-line Nurses Combating with COVID-19 in China: A Descriptive Cross-Sectional Study. AU - Zhan,Yu-Xin, AU - Zhao,Shi-Yu, AU - Yuan,Jiao, AU - Liu,Huan, AU - Liu,Yun-Fang, AU - Gui,Ling-Li, AU - Zheng,Hong, AU - Zhou,Ya-Min, AU - Qiu,Li-Hua, AU - Chen,Jiao-Hong, AU - Yu,Jiao-Hua, AU - Li,Su-Yun, Y1 - 2020/08/29/ PY - 2020/04/03/received PY - 2020/07/12/accepted PY - 2020/8/9/pubmed PY - 2020/9/5/medline PY - 2020/8/9/entrez KW - COVID-19 KW - Chinese nurses KW - anxiety KW - cross-sectional study KW - depression KW - fatigue KW - pandemic KW - perceived stress SP - 625 EP - 635 JF - Current medical science JO - Curr Med Sci VL - 40 IS - 4 N2 - Nurses' work-related fatigue has been recognized as a threat to nurse health and patient safety. The aim of this study was to assess the prevalence of fatigue among first-line nurses combating with COVID-19 in Wuhan, China, and to analyze its influencing factors on fatigue. A multi-center, descriptive, cross-sectional design with a convenience sample was used. The statistical population consisted of the first-line nurses in 7 tertiary general hospitals from March 3, 2020 to March 10, 2020 in Wuhan of China. A total of 2667 samples from 2768 contacted participants completed the investgation, with a response rate of 96.35%. Social-demographic questionnaire, work-related questionnaire, Fatigue Scale-14, Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, and Chinese Perceived Stress Scale were used to conduct online survey. The descriptive statistic of nurses' social-demographic characteristics was conducted, and the related variables of work, anxiety, depression, perceived stress and fatigue were analyzed by t-tests, nonparametric test and Pearson's correlation analysis. The significant factors which resulted in nurses' fatigue were further analyzed by multiple linear regression analysis. The median score for the first-line nurses' fatigue in Wuhan was 4 (2, 8). The median score of physical and mental fatigue of them was 3 (1, 6) and 1 (0, 3) respectively. According to the scoring criteria, 35.06% nurses (n=935) of all participants were in the fatigue status, their median score of fatigue was 10 (8, 11), and the median score of physical and mental fatigue of them was 7 (5, 8) and 3 (2, 4) respectively. Multiple linear regression analysis revealed the participants in the risk groups of anxiety, depression and perceived stress had higher scores on physical and mental fatigue and the statistically significant positive correlation was observed between the variables and nurses' fatigue, the frequency of exercise and nurses' fatigue had a statistically significant negative correlation, and average daily working hours had a significantly positive correlation with nurses' fatigue, and the frequency of weekly night shift had a low positive correlation with nurses' fatigue (P<0.01). There was a moderate level of fatigue among the first-line nurses fighting against COVID-19 pandemic in Wuhan, China. Government and health authorities need to formulate and take effective intervention strategies according to the relevant risk factors, and undertake preventive measures aimed at reducing health hazards due to increased work-related fatigue among first-line nurses, and to enhance their health status and provide a safe occupational environment worldwide. Promoting both medical and nursing safety while combating with the pandemic currently is warranted. SN - 2523-899X UR - https://www.unboundmedicine.com/medline/citation/32767264/Prevalence_and_Influencing_Factors_on_Fatigue_of_First_line_Nurses_Combating_with_COVID_19_in_China:_A_Descriptive_Cross_Sectional_Study_ L2 - https://doi.org/10.1007/s11596-020-2226-9 DB - PRIME DP - Unbound Medicine ER -